无脊髓神经损伤的脊柱骨折脱位的临床诊断与治疗效果观察  

Clinical Diagnosis and Treatment Effect of Spinal Fracture Dislocation Without Spinal Cord Injury

作　　者：王雯筠 

机构地区：[1]内蒙古自治区人民医院脊柱外科,呼和浩特010017

出　　处：《中国卫生标准管理》2015年第13期80-81,共2页China Health Standard Management

摘　　要：目的观察无脊髓神经损伤胸腰段脊柱骨折脱位的临床诊断以及疗效。方法选择60例无脊髓神经损伤的胸腰段脊柱骨折脱位患者,39例采用不稳定性行手术治疗,21例进行稳定性保守治疗。结果对所有患者均分别进行随访观察,神经症状均有明显改善。60例无脊髓神经损伤的胸腰段脊柱骨折脱位患者,植骨区与身体其他组织均牢固融合,无并发症例数,且生理曲线恢复良好,解剖复位患者未成功3例,成功复位率95%。结论针对脊柱骨折脱位且未伴随脊髓神经损伤的患者,应视其状况进行稳定性治疗或是不稳定性手术治疗,治疗后应及时监测解剖复位程度以及生理曲线恢复状况,避免并发症的发生。Objective To observe the clinical diagnosis and curative effect of thoracic lumbar spine fracture dislocation without spinal cord injury. Methods 60 cases of spinal cord injury patients with thoracic lumbar spine fracture dislocation were chosen,19 cases received unstable during surgery,11 cases received stability of conservative treatment. Results Al patients were fol owed up respectively,neurological symptoms were improved significantly. 60 cases of spinal cord injury patients with thoracic lumbar spine fracture dislocation,bone graft area and other organizations were strong body fusion,there was no complications and recovery of physiological curve was good,the anatomical reduction and failed in 3 patients,successful reduction rate was 95%. Conclusion For spinal fracture dislocation and patients who are not associated with spinal cord injury should be depending on the condition of stability or instability surgery treatment,the treatment should be timely monitoring the extent of anatomical reduction and physiological status of curve,and avoid complications.

关 键 词：无脊髓神经损伤 脊柱骨折脱位 临床诊断 治疗效果 

分 类 号：R681.5[医药卫生—骨科学]